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Organization
THE BRIDGE COUNSELING AND CONSULTATION CENTER
Active
Organization
THE BRIDGE COUNSELING AND CONSULTATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JADA MCNAIR ELLIOTT LMSW (BUSINESS OWNER)
(478) 957-4482
Entity
Organization
Contact information
Practice address
761 POPLAR ST STE 1K, MACON, GA 31201-2061
(478) 957-4482
Mailing address
195 SUN VALLEY DR, MACON, GA 31211-7415
(478) 957-4482
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005145
GA
Other
Enumeration date
11/13/2017
Last updated
02/06/2023
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